CHARLES ETTELSON PA-C
NPI 1598165375
Physician Assistant - Surgical in Denver, CO

Active since August 28, 2014PECOS EnrolledAccepts Medicare Assignment
1601 E 19TH AVE STE 3300, DENVER, CO 80218(303) 837-0072 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 4, 2022, Jun 21, 2021, Oct 21, 2019 and 1 more (4 updates tracked since 2016).

About Charles Ettelson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES ETTELSON PA-C (NPI 1598165375) is an individual surgical provider in Denver, Colorado, licensed in Colorado (PA.0004077) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1598165375
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCHARLES ETTELSONCredential: PA-C
Location Address1601 E 19TH AVE STE 3300Denver, CO 80218-1239
Mailing Address10350 E Dakota AveDenver, CO 80247-1314
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 28, 2014
Last NPPES UpdateJanuary 4, 20224 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1598165375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CO · PA.0004077
1601 E 19TH AVE STE 3300, Denver, CO 80218

Secondary Practice Location 1

Location 12045 N Franklin StDenver, CO 80205-5437 · Phone (303) 338-4545

Other Identifiers 2

Medicaid83875344CO
Other027032CO · Kaiser Commercial Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Ettelson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496977944
PECOS Enrollment IDI20141118000347
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier12 claims12 services$74.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1601 E 19TH AVE STE 3300
DENVER, CO 80218
Plastic Surgery (Surgery of the Hand)
1601 E 19TH AVE STE 3300
DENVER, CO 80218
Radiology (Vascular & Interventional Radiology)
1601 E 19TH AVE STE 3300
DENVER, CO 80218
Orthopaedic Surgery
1601 E 19TH AVE STE 3300
DENVER, CO 80218
Physician Assistant (Surgical)
1601 E 19TH AVE STE 3300
DENVER, CO 80218
Physician Assistant
1601 E 19TH AVE STE 3300
DENVER, CO 80218
Physician Assistant
1601 E 19TH AVE STE 3300
DENVER, CO 80218
Orthopaedic Surgery
1601 E 19TH AVE STE 3300
DENVER, CO 80218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Ettelson's NPI number?

The NPI number for Charles Ettelson is 1598165375. It was assigned to this individual provider in the NPPES registry on August 28, 2014.

Where is Charles Ettelson located?

Charles Ettelson practices at 1601 E 19th Ave Ste 3300, Denver, CO 80218. The listed phone number is (303) 837-0072.

What is Charles Ettelson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Charles Ettelson enrolled in Medicare?

Yes. Charles Ettelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Ettelson accept?

Health plans from UnitedHealthcare list Charles Ettelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Ettelson was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.